Individual
OMIYOSOYE OLOLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 US HIGHWAY 41 STE I, SCHERERVILLE, IN 46375-1278
(219) 864-3950
(219) 864-3952
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036120689
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200870920
—
IN
Enumeration date
07/31/2006
Last updated
10/13/2023
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